DR. RICHARD L CALLIHAN JR M.D.
NPI 1154386241
Internal Medicine - Interventional Cardiology in Cincinnati, OH

Q: What is Richard Callihan Jr's NPI number?

The NPI number for Richard Callihan Jr is 1154386241. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Richard Callihan Jr's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

10525 MONTGOMERY RD, CINCINNATI, OH 45242(513) 745-9800(513) 985-2905 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Richard L Callihan Jr M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD L CALLIHAN JR M.D. (NPI 1154386241) is an individual interventional cardiology provider in Cincinnati, Ohio, licensed in Ohio (35-065501) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of Jc Edwards School Of Medicine, Marshall University (1989).

NPPES Registry Identity

NPI1154386241

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. RICHARD L CALLIHAN JRCredential: M.D.

Location Address10525 MONTGOMERY RDCincinnati, OH 45242-4401

Mailing Address10525 Montgomery RdCincinnati, OH 45242-4401 · (513) 745-9800 · Fax (513) 985-2905

Phone(513) 745-9800

Fax(513) 985-2905

Sole ProprietorNo

Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1989

Enumeration DateApril 20, 2006

Last NPPES UpdateJanuary 13, 2015

✔ NPI 1154386241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in OH · 35-065501

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35-086501 (OH)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35-086501 (OH)

10525 MONTGOMERY RD, Cincinnati, OH 45242

Open in Google Maps ↗

Other Identifiers 7

Medicare UPINF53801

Medicare PIN117341AZ

Medicare PIN115613AZ

Medicaid200531430IN

Medicaid2595919OH

Medicare ID-Type UnspecifiedCA4167321OH

Medicaid64110984KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard L Callihan Jr M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901797729

PECOS Enrollment IDI20050909000559

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Richard Callihan Jr reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trihealth H LLC

Same address

Infectious Disease

10495 MONTGOMERY RD
Cincinnati, OH 45242

Reassigned Medicare billing, Ohio enrollment
1,102 clinicians in this Medicare group

NPI 1164860920 (513) 984-2775

Trihealth G LLC

12 mi

Internal Medicine

379 DIXMYTH AVE
Cincinnati, OH 45220

Reassigned Medicare billing, Ohio enrollment
1,126 clinicians in this Medicare group

NPI 1295862944 (513) 246-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

531 services385 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

241 services228 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

152 services139 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

88 services84 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

69 services40 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel 93571

This procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.

57 services54 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

56 services56 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

53 services43 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

51 services39 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

39 services35 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

36 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

29 services29 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

26 services25 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, each additional vessel 93572

This procedure involves using ultrasound to examine additional heart blood vessels during diagnosis or treatment. It helps doctors visualize the structure and function of your heart, ensuring precise evaluation and care.

26 services21 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

20 services20 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

19 services19 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

13 services13 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

13 services13 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360046

Location110 North Poplar StreetOxford, OH 45056 · Butler County

Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360134

Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County

Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

Adams County Regional Medical Center

Critical Access Hospitals · Seaman, OH

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number361326

Location230 Medical Center DriveSeaman, OH 45679 · Adams County

Emergency services

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number361332

Location1275 North High StreetHillsboro, OH 45133 · Highland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.76

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

42%264 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

23%281 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRIHEALTH HEART INSTITUTE, LLC

Internal Medicine (Cardiovascular Disease)

10525 MONTGOMERY RD
CINCINNATI, OH 45242

Hamilton County (513) 745-9800

DR. ROBERT L COITH JR. M.D.

Internal Medicine (Interventional Cardiology)

10525 MONTGOMERY RD
CINCINNATI, OH 45242

Hamilton County (513) 745-9800

MRS. NATALEE IRENE REIF CNP

Nurse Practitioner (Gerontology)

10525 MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 745-9800

REBECCA HINKLE NP

Nurse Practitioner (Family)

10525 MONTGOMERY RD
CINCINNATI, OH 45242

Hamilton County (513) 745-9800

DR. AARON DONALD JOHN KULWICKI MD

Surgery (Vascular Surgery)

10525 MONTGOMERY RD
CINCINNATI, OH 45242

Hamilton County (513) 865-9898

DR. JONATHAN LOUIS HASSEL M.D.

Internal Medicine (Interventional Cardiology)

10525 MONTGOMERY RD
CINCINNATI, OH 45242

Hamilton County (513) 745-9800

CARDIOLOGY CENTER OF CINCINNATI, INC

Internal Medicine (Cardiovascular Disease)

10525 MONTGOMERY RD
CINCINNATI, OH 45242

Hamilton County (513) 745-9800

HEATHER RENEE WILKINSON NP-C

Nurse Practitioner (Family)

10525 MONTGOMERY RD
CINCINNATI, OH 45242

Hamilton County (513) 246-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Callihan Jr's NPI number?

The NPI number for Richard Callihan Jr is 1154386241. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Richard Callihan Jr located?

Richard Callihan Jr practices at 10525 Montgomery Rd, Cincinnati, OH 45242. The listed phone number is (513) 745-9800.

What is Richard Callihan Jr's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Richard Callihan Jr enrolled in Medicare?

Yes. Richard Callihan Jr is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Richard Callihan Jr's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Callihan Jr reassigns Medicare benefits to 2 organizations: Trihealth H LLC (Cincinnati, OH) and Trihealth G LLC (Cincinnati, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Callihan Jr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Callihan Jr accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Richard Callihan Jr as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Richard Callihan Jr affiliated with any hospitals?

According to CMS data, Richard Callihan Jr is affiliated with Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital, Bethesda North, Adams County Regional Medical Center and Highland District Hospital.

When was this NPI record last updated?

The NPPES record for Richard Callihan Jr was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.